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Wisconsin rates for HCPCS J2780

Ranitidine Hydrochloride Inj

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.36 / $15.32 / $21.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.57 / $6.72 / $7.97
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.77 / $10.75 / $10.75
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00